<!DOCTYPE html>
<html xmlns:th="http://www.thymeleaf.org"
      xmlns:mo="https://gitee.com/aun/Timo">
<head th:replace="/common/template :: header(~{::title},~{::link},~{::style})">
    <link rel="stylesheet" th:href="@{/lib/zTree_v3/css/zTreeStyle/zTreeStyle.css}" type="text/css">
</head>
<body>
<div class="layui-form timo-compile">
    <form th:action="@{/raredisease/patient/save}">
        <input type="hidden" name="patientid" th:if="${patientbaseinfo}" th:value="${patientbaseinfo?.id}"/>
        <div class="layui-collapse">
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">基本信息</h2>
                <div class="layui-colla-content layui-show">
                    <div class="layui-form-item">
                        <label class="layui-form-label required">病案号</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="bah" placeholder="请输入病案号" th:value="${patientbaseinfo?.bah}">
                        </div>
                        <label class="layui-form-label required">年限</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="nx"  placeholder="请输入年限" th:value="${patientbaseinfo?.nx}">
                        </div>
                        <label class="layui-form-label required">患者姓名</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="xm"  placeholder="请输入姓名" th:value="${patientbaseinfo?.xm}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">选择性别</label>
                        <div class="layui-input-inline">
                            <input type="radio" name="xbbm" value="1" title="男" checked><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>男</div></div>
                            <input type="radio" name="xbbm" value="2" title="女" th:checked="${patientbaseinfo?.xbbm} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>女</div></div>
                            <input type="radio" name="xbbm" value="3" title="不详" th:checked="${patientbaseinfo?.xbbm} eq 3"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>不详</div></div>
                        </div>
                        <label class="layui-form-label required">民族</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="mz"  placeholder="请输入民族" th:value="${patientbaseinfo?.mz}">
                            <input type="hidden" name="mzbm" th:if="${patientbaseinfo}" th:value="${patientbaseinfo.mzbm}"/>
                        </div>
                        <label class="layui-form-label required">年龄</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="nl"  placeholder="请输入年龄" th:value="${patientbaseinfo?.nl}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">出生日期</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="csrq" id="csrq" placeholder="请输入出生日期" th:value="${patientbaseinfo?.csrq}">
                        </div>
                        <label class="layui-form-label">身份证号</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="sfzh" placeholder="请输入身份证号" th:value="${patientbaseinfo?.sfzh}">
                        </div>
                        <label class="layui-form-label">户口所在地</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="hkszd" placeholder="请输入户口所在地" th:value="${patientbaseinfo?.hkszd}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">出生地</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="csd" placeholder="请输入出生地" th:value="${patientbaseinfo?.csd}">
                        </div>
                        <label class="layui-form-label">现住址</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="xzz" placeholder="请输入现住址" th:value="${patientbaseinfo?.xzz}">
                        </div>
                        <label class="layui-form-label">生存情况</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="scqk" mo:dict="SCQK"
                                    mo-selected="${patientbaseinfo?.scqk}"></select>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">联系人</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="lxr" placeholder="请输入联系人" th:value="${patientbaseinfo?.lxr}">
                        </div>
                        <label class="layui-form-label">联系电话</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="lxrdh" placeholder="请输入联系电话" th:value="${patientbaseinfo?.lxrdh}">
                        </div>
                        <label class="layui-form-label">邮编</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="yb" placeholder="请输入邮编" th:value="${patientbaseinfo?.yb}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">入院日期</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="ryrq" id="ryrq" placeholder="请输入入院日期" th:value="${patientbaseinfo?.ryrq}">
                        </div>
                        <label class="layui-form-label">出院日期</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="cyrq"  id="cyrq" placeholder="请输入出院日期" th:value="${patientbaseinfo?.cyrq}">
                        </div>
                        <label class="layui-form-label">离院方式</label>
                        <div class="layui-input-inline">
<!--                            <input class="layui-input" type="text" name="lyfs" placeholder="请输入离院方式" th:value="${patientbaseinfo?.lyfs}">-->
                            <select class="timo-search-select" name="lyfs" mo:dict="LYFS"
                                    mo-selected="${patientbaseinfo?.lyfs}"></select>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">死亡时间</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="swsj" placeholder="请输入死亡时间" th:value="${patientbaseinfo?.swsj}">
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">临床信息</h2>
                <div class="layui-colla-content layui-show">
                    <div class="layui-form-item">
                        <label class="layui-form-label">发病年龄</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fbnl" placeholder="请输入发病年龄" th:value="${patientclinicalinfo?.fbnl}">
                        </div>
                        <label class="layui-form-label">发病年龄单位</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fbnldw" placeholder="请输入发病年龄" th:value="${patientclinicalinfo?.fbnldw}">
                        </div>
                        <label class="layui-form-label">首次就医(非罕见病原因就医)</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="scjysj" id="scjysj" placeholder="请输入首次就医时间" th:value="${patientclinicalinfo?.scjysj}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">首次(罕见病)发病时间</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="scfbsj" id="scfbsj" placeholder="请输入首次(罕见病)发病时间" th:value="${patientclinicalinfo?.scfbsj}">
                        </div>
                        <label class="layui-form-label">是否首次诊断</label>
                        <div class="layui-input-inline">
                            <input type="radio" name="sfsjzd" value="1" title="是" th:checked="${patientclinicalinfo?.sfsjzd} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>
                            <input type="radio" name="sfsjzd" value="2" title="否" th:checked="${patientclinicalinfo?.sfsjzd} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>
                        </div>

                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">首次诊断医院</label>
                        <div class="layui-input-inline" style="width:160px">
                            <input type="radio" name="sczdyystate" value="1" title="本市" th:checked="${patientclinicalinfo?.sczdyystate} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>本市</div></div>
                            <input type="radio" name="sczdyystate" value="2" title="外地" th:checked="${patientclinicalinfo?.sczdyystate} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>外地</div></div>
                        </div>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="sczdyy" placeholder="请输入首次诊断医院" th:value="${patientclinicalinfo?.sczdyy}">
                        </div>
                        <label class="layui-form-label">接诊机构</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="jzjg" placeholder="请输入接诊机构" th:value="${patientclinicalinfo?.jzjg}">
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">就医主诉</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入就医主诉" class="layui-textarea" name="jyzs">[[${patientclinicalinfo?.jyzs}]]</textarea>
                        </div>
                        <label class="layui-form-label">主要症状</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入主要症状" class="layui-textarea" name="zyzz">[[${patientclinicalinfo?.zyzz}]]</textarea>
                        </div>
                        <label class="layui-form-label">重要体征</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入重要体征" class="layui-textarea" name="zytz">[[${patientclinicalinfo?.zytz}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">酶学检查及基因检查</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" lay-filter="mxjy" name="MXYJY" mo:dict="MXYJY"
                                    mo-selected="${patientclinicalinfo?.mxyjy}"></select>
                        </div>
                        <div class="layui-input-inline" id="mxjylist">
                            <textarea placeholder="请输入酶学检查" class="layui-textarea" name="mxjc" id="mxjc">[[${patientclinicalinfo?.mxjc}]]</textarea>
                            <textarea placeholder="请输入基因检查" class="layui-textarea" name="jyjc" id="jyjc">[[${patientclinicalinfo?.jyjc}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">实验室检查</label>
                        <div class="layui-input-inline">
                            <select lay-filter="sysjc" class="timo-search-select" name="sysjc" id="sysjc" mo:dict="SYSJC"
                                    mo-selected="${patientclinicalinfo?.sysjc}"></select>
<!--                            <textarea placeholder="请输入实验室检查" class="layui-textarea" name="sysjc">[[${patientclinicalinfo?.sysjc}]]</textarea>-->
                        </div>
                        <div class="layui-input-inline" id="sysjclist">
                            <textarea placeholder="请输入血常规" class="layui-textarea" name="xcgjcjg" id="xcgjcjg">[[${patientclinicalinfo?.xcgjcjg}]]</textarea>
                            <textarea placeholder="请输入尿常规" class="layui-textarea" name="ncgjcjg" id="ncgjcjg">[[${patientclinicalinfo?.ncgjcjg}]]</textarea>
                            <textarea placeholder="请输入血生化" class="layui-textarea" name="xxhjcjg" id="xxhjcjg">[[${patientclinicalinfo?.xxhjcjg}]]</textarea>
                            <textarea placeholder="请输入病理检查" class="layui-textarea" name="bljcjg" id="bljcjg">[[${patientclinicalinfo?.bljcjg}]]</textarea>
                            <textarea placeholder="请输入基因检查" class="layui-textarea" name="jyjcjg" id="jyjcjg">[[${patientclinicalinfo?.jyjcjg}]]</textarea>
                            <textarea placeholder="请输入" class="layui-textarea" name="qtjcjg" id="qtjcjg">[[${patientclinicalinfo?.qtjcjg}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">影像</label>
                        <div class="layui-input-inline">
                            <select lay-filter="yxjcjg" class="timo-search-select" name="yx" id="yx" mo:dict="YXJC"
                                    mo-selected="${patientclinicalinfo?.yx}"></select>
                            <!--<textarea placeholder="请输入影像" class="layui-textarea" name="yx">[[${patientclinicalinfo?.yx}]]</textarea>-->
                        </div>
                        <div class="layui-input-inline" id="yxjclist">
                            <textarea placeholder="请输入X线结果" class="layui-textarea" name="xxyxjg" id="xxyxjg">[[${patientclinicalinfo?.xxyxjg}]]</textarea>
                            <textarea placeholder="请输入B超结果" class="layui-textarea" name="bcyxjg" id="bcyxjg">[[${patientclinicalinfo?.bcyxjg}]]</textarea>
                            <textarea placeholder="请输入CT结果" class="layui-textarea" name="ctyxjg" id="ctyxjg">[[${patientclinicalinfo?.ctyxjg}]]</textarea>
                            <textarea placeholder="请输入核磁结果" class="layui-textarea" name="hcyxjg" id="hcyxjg">[[${patientclinicalinfo?.hcyxjg}]]</textarea>
                            <textarea placeholder="请输入" class="layui-textarea" name="qtyxjg" id="qtyxjg">[[${patientclinicalinfo?.qtyxjg}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">诊断时间</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="zdsj" id="zdsj" placeholder="请输入诊断时间" th:value="${patientclinicalinfo?.zdsj}">
                        </div>
                        <label class="layui-form-label">诊断类型</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <input type="radio" name="zdlx" value="1" title="确诊" th:checked="${patientclinicalinfo?.zdlx} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>确诊</div></div>
                                <input type="radio" name="zdlx" value="2" title="疑似" th:checked="${patientclinicalinfo?.zdlx} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>疑似</div></div>
                            </div>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">确诊诊断名称</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入确诊诊断名称" class="layui-textarea" name="qzzd">[[${patientclinicalinfo?.qzzd}]]</textarea>
                        </div>
                        <label class="layui-form-label">疑诊诊断名称</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入疑诊诊断名称" class="layui-textarea" name="yszd">[[${patientclinicalinfo?.yszd}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">疾病编码</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入疾病编码" class="layui-textarea" name="jbzd_icd10">[[${patientclinicalinfo?.jbzdIcd10}]]</textarea>
                        </div>
                        <label class="layui-form-label">疾病诊断名称</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入疾病诊断名称" class="layui-textarea" name="jbzdmc">[[${patientclinicalinfo?.jbzdmc}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
<!--                        <label class="layui-form-label">其他诊断</label>-->
<!--                        <div class="layui-input-inline">-->
<!--                            <textarea placeholder="请输入其他诊断" class="layui-textarea" name="sub_diagnosis_1_icd10">[[${patientclinicalinfo?.subDiagnosis1Icd10}]]</textarea>-->
<!--                        </div>-->
                        <label class="layui-form-label">其他诊断名称1</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入其他诊断名称" class="layui-textarea" name="sub_diagnosis_1">[[${patientclinicalinfo?.subDiagnosis1}]]</textarea>
                        </div>
                        <label class="layui-form-label">其他诊断名称2</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入其他诊断名称" class="layui-textarea" name="sub_diagnosis_2">[[${patientclinicalinfo?.subDiagnosis2}]]</textarea>
                        </div>
                        <label class="layui-form-label">其他诊断名称3</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入其他诊断名称" class="layui-textarea" name="sub_diagnosis_3">[[${patientclinicalinfo?.subDiagnosis3}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">确诊依据</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <input type="radio" name="qzyj" value="1" title="确诊" th:checked="${patientclinicalinfo?.qzyj} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>确诊</div></div>
                                <input type="radio" name="qzyj" value="2" title="疑似" th:checked="${patientclinicalinfo?.qzyj} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>疑似</div></div>
                            </div>
                        </div>
                        <label class="layui-form-label">诊断方法</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <select class="timo-search-select" name="zdff" mo:dict="ZDFF"
                                        mo-selected="${patientclinicalinfo?.zdff}"></select>
                            </div>
                        </div>
                        <label class="layui-form-label">本次诊断医师</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="bczdys" placeholder="请输入本次诊断医师" th:value="${patientclinicalinfo?.bczdys}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">是否转诊</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <input type="radio" name="sfzz" value="1" title="是" th:checked="${patientclinicalinfo?.sfzz} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>
                                <input type="radio" name="sfzz" value="2" title="否" th:checked="${patientclinicalinfo?.sfzz} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>
                            </div>
                        </div>
                        <label class="layui-form-label">治疗方案</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <select class="timo-search-select" name="zl" mo:dict="ZLFA"
                                        mo-selected="${patientclinicalinfo?.zl}"></select>
                            </div>
                        </div>
                    </div>
<!--                    <div class="layui-form-item">-->

<!--                    </div>-->
                    <div class="layui-form-item">
                        <label class="layui-form-label">启动特意性治疗时间</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <input class="layui-input" type="text" name="qdtyxzlsj" id="qdtyxzlsj" placeholder="请输入启动特意性治疗时间" th:value="${patientclinicalinfo?.qdtyxzlsj}">
                            </div>
                        </div>
                        <label class="layui-form-label">特意性治疗方式</label>
                        <div class="layui-input-inline">
                                <select class="timo-search-select" name="tyxzlfs" mo:dict="TYXZLFS"
                                        mo-selected="${patientclinicalinfo?.tyxzlfs}"></select>
                        </div>
                        <label class="layui-form-label">非特意性治疗方式</label>
                        <div class="layui-input-inline">
                            <div class="layui-input-inline">
                                <select class="timo-search-select" name="ftyxzlfs" mo:dict="FTYXZLFS"
                                        mo-selected="${patientclinicalinfo?.ftyxzlfs}"></select>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">出生情况</h2>
                <div class="layui-colla-content layui-show">
                    <div class="layui-form-item">
                        <label class="layui-form-label">胎次产次</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="gp" placeholder="请输入G?P?" th:value="${patientbirthinfo?.gp}">
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">母孕期情况</label>
                        <div class="layui-input-block">
                            <textarea placeholder="请输入母孕期情况" class="layui-textarea" name="myqqk">[[${patientbirthinfo?.myqqk}]]</textarea>
                        </div>
                    </div>
<!--                    <div class="layui-form-item layui-form-text">-->
<!--                        <label class="layui-form-label">围产期情况</label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <textarea placeholder="请输入围产期情况" class="layui-textarea" name="wcqqk">[[${patientbirthinfo?.wcqqk}]]</textarea>-->
<!--                        </div>-->
<!--                    </div>-->
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">出生情况</label>
                        <div class="layui-input-block">
                            <textarea placeholder="请输入出生情况" class="layui-textarea" name="csqk">[[${patientbirthinfo?.csqk}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">生后情况</label>
                        <div class="layui-input-block">
                            <textarea placeholder="请输入生后情况" class="layui-textarea" name="shqk">[[${patientbirthinfo?.shqk}]]</textarea>
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">个人情况</h2>
                <div class="layui-colla-content layui-show">
                    <div class="layui-form-item">
                        <label class="layui-form-label">家庭成员人数</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="jtcys" placeholder="请输入家庭成员人数" th:value="${patientpersonalinfo?.jtcys}">
                        </div>
                        <label class="layui-form-label ">家庭同病种患病人数</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="jttbzhbrs"  placeholder="请输入家庭同病种患病人数" th:value="${patientpersonalinfo?.jttbzhbrs}">
                        </div>
                        <label class="layui-form-label">家庭患病成员与患者关系</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="jthbcyyhzgx" mo:dict="YHZGX"
                                    mo-selected="${patientpersonalinfo?.jthbcyyhzgx}"></select>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">个人史</label>
                        <div class="layui-input-block">
                            <textarea placeholder="请输入个人史" class="layui-textarea" name="grs">[[${patientpersonalinfo?.grs}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">有无家族史</label>
                        <div class="layui-input-inline">
                            <input type="radio" name="ywjzs" value="1" title="有" th:checked="${patientpersonalinfo?.ywjzs} eq 1" lay-filter="ChoiceRadio"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>有</div></div>
                            <input type="radio" name="ywjzs" value="2" title="无" th:checked="${patientpersonalinfo?.ywjzs} eq 2" lay-filter="ChoiceRadio"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>无</div></div>
                            <input type="radio" name="ywjzs" value="3" title="不详" th:checked="${patientpersonalinfo?.ywjzs} eq 3" lay-filter="ChoiceRadio"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>不详</div></div>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text" id="inputjzs">
                        <label class="layui-form-label">家族史</label>
                        <div class="layui-input-block">
                            <textarea placeholder="请输入家族史" class="layui-textarea" name="jzs">[[${patientpersonalinfo?.jzs}]]</textarea>
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">血亲父母</h2>
                <div class="layui-colla-content layui-show">
<!--                    <div class="layui-form-item">-->
<!--                        <label class="layui-form-label">健康情况</label>-->
<!--                        <div class="layui-input-inline">-->
<!--                            <input class="layui-input" type="text" name="jkqk" placeholder="请输入健康情况" th:value="${patientparentsinfo?.jkqk}">-->
<!--                        </div>-->
<!--                        <label class="layui-form-label">受教育程度</label>-->
<!--                        <div class="layui-input-inline">-->
<!--                            <input class="layui-input" type="text" name="sjycd" placeholder="请输入受教育程度" th:value="${patientparentsinfo?.sjycd}">-->
<!--                        </div>-->
<!--                    </div>-->
                    <div class="layui-form-item">
                        <label class="layui-form-label">父亲年龄</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fqnl" placeholder="请输入父亲年龄" th:value="${patientparentsinfo?.fqnl}">
                        </div>
                        <label class="layui-form-label">父亲年龄单位</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fqnldw" placeholder="请输入父亲年龄单位" th:value="${patientparentsinfo?.fqnldw}">
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">父亲健康情况</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入父亲健康情况" class="layui-textarea" name="fqjkqk">[[${patientparentsinfo?.fqjkqk}]]</textarea>
                        </div>
                        <label class="layui-form-label">父亲存在疾病</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入父亲存在疾病" class="layui-textarea" name="fqczjb">[[${patientparentsinfo?.fqczjb}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">父亲是否婚检</label>
                        <div class="layui-input-inline">
                            <input type="radio" name="fqhj" value="1" title="是" th:checked="${patientparentsinfo?.fqhj} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>
                            <input type="radio" name="fqhj" value="2" title="否" th:checked="${patientparentsinfo?.fqhj} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>
                            <input type="radio" name="fqhj" value="3" title="不详" th:checked="${patientparentsinfo?.fqhj} eq 3"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>不详</div></div>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">父亲受教育程序</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="fqsjycd" mo:dict="XLDM"
                                    mo-selected="${patientparentsinfo?.fqsjycd}"></select>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">母亲年龄</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="mqnl" placeholder="请输入母亲年龄" th:value="${patientparentsinfo?.mqnl}">
                        </div>
                        <label class="layui-form-label">母亲年龄单位</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="mqnldw" placeholder="请输入母亲年龄单位" th:value="${patientparentsinfo?.mqnldw}">
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">母亲健康情况</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入母亲健康情况" class="layui-textarea" name="mqjkqk">[[${patientparentsinfo?.mqjkqk}]]</textarea>
                        </div>
                        <label class="layui-form-label">母亲存在疾病</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入母亲存在疾病" class="layui-textarea" name="mqczjb">[[${patientparentsinfo?.mqczjb}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">母亲是否婚检</label>
                        <div class="layui-input-inline">
                            <input type="radio" name="mqhj" value="1" title="是" th:checked="${patientparentsinfo?.mqhj} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>
                            <input type="radio" name="mqhj" value="2" title="否" th:checked="${patientparentsinfo?.mqhj} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>
                            <input type="radio" name="mqhj" value="3" title="不详" th:checked="${patientparentsinfo?.mqhj} eq 3"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>不详</div></div>
                        </div>
                        <label class="layui-form-label">母亲是否孕检</label>
                        <div class="layui-input-inline">
                            <input type="radio" name="mqyj" value="1" title="是" th:checked="${patientparentsinfo?.mqyj} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>
                            <input type="radio" name="mqyj" value="2" title="否" th:checked="${patientparentsinfo?.mqyj} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>
                            <input type="radio" name="mqyj" value="3" title="不详" th:checked="${patientparentsinfo?.mqyj} eq 3"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>不详</div></div>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">母亲受教育程序</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="mqsjycd" mo:dict="XLDM"
                                    mo-selected="${patientparentsinfo?.mqsjycd}"></select>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">兄健康情况</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入兄健康情况" class="layui-textarea" name="xjkqk">[[${patientparentsinfo?.xjkqk}]]</textarea>
                        </div>
                        <label class="layui-form-label">弟健康情况</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入弟健康情况" class="layui-textarea" name="djkqk">[[${patientparentsinfo?.djkqk}]]</textarea>
                        </div>
                    </div>
                    <div class="layui-form-item layui-form-text">
                        <label class="layui-form-label">姐健康情况</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入姐健康情况" class="layui-textarea" name="jjkqk">[[${patientparentsinfo?.jjkqk}]]</textarea>
                        </div>
                        <label class="layui-form-label">妹健康情况</label>
                        <div class="layui-input-inline">
                            <textarea placeholder="请输入妹健康情况" class="layui-textarea" name="mjkqk">[[${patientparentsinfo?.mjkqk}]]</textarea>
                        </div>
                    </div>
<!--                    <div class="layui-form-item">-->
<!--                        <label class="layui-form-label">是否婚检</label>-->
<!--                        <div class="layui-input-inline">-->
<!--                            <input type="radio" name="sfhj" value="1" title="是" th:checked="${patientparentsinfo?.sfhj} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>-->
<!--                            <input type="radio" name="sfhj" value="2" title="否" th:checked="${patientparentsinfo?.sfhj} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>-->
<!--                        </div>-->
<!--                        <label class="layui-form-label">是否孕检</label>-->
<!--                        <div class="layui-input-inline">-->
<!--                            <input type="radio" name="sfyj" value="1" title="是" th:checked="${patientparentsinfo?.sfyj} eq 1"><div class="layui-unselect layui-form-radio layui-form-radioed"><i class="layui-anim layui-icon"></i><div>是</div></div>-->
<!--                            <input type="radio" name="sfyj" value="2" title="否" th:checked="${patientparentsinfo?.sfyj} eq 2"><div class="layui-unselect layui-form-radio"><i class="layui-anim layui-icon"></i><div>否</div></div>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-form-item layui-form-text">-->
<!--                        <label class="layui-form-label">父母存在疾病</label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <textarea placeholder="请输入内容" class="layui-textarea" name="fmczjb">[[${patientparentsinfo?.fmczjb}]]</textarea>-->
<!--                        </div>-->
<!--                    </div>-->
                </div>
            </div>
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">费用信息</h2>
                <div class="layui-colla-content layui-show">
                    <div class="layui-form-item">
                        <label class="layui-form-label">家庭平均年总收入</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="jtpjnzsr" mo:dict="JLFY"
                                    mo-selected="${patientcostinfo?.jtpjnzsr}"></select>
<!--                            <input class="layui-input" type="text" name="jtpjnzsr" placeholder="请输入家庭平均年总收入" th:value="${patientcostinfo?.jtpjnzsr}">-->
                        </div>
                        <label class="layui-form-label">发病至确诊前的总费用</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="fbzqzdzfy" mo:dict="JLFY"
                                    mo-selected="${patientcostinfo?.fbzqzdzfy}"></select>
<!--                            <input class="layui-input" type="text" name="fbzqzdzfy" placeholder="请输入发病至确诊前的总费用" th:value="${patientcostinfo?.fbzqzdzfy}">-->
                        </div>
                        <label class="layui-form-label ">确认后的总治疗费用自费占比</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="qrhdzzlfyzfzb" mo:dict="JLFY"
                                    mo-selected="${patientcostinfo?.qrhdzzlfyzfzb}"></select>
<!--                            <input class="layui-input" type="text" name="qrhdzzlfyzfzb"  placeholder="请输入确认后的总治疗费用自费占比" th:value="${patientcostinfo?.qrhdzzlfyzfzb}">-->
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">发病以来每年额外增加的费用</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="fbylmnewzjdfy" mo:dict="JLFY"
                                    mo-selected="${patientcostinfo?.fbylmnewzjdfy}"></select>
<!--                            <input class="layui-input" type="text" name="fbylmnewzjdfy" placeholder="请输入发病以来每年额外增加的费用" th:value="${patientcostinfo?.fbylmnewzjdfy}">-->
                        </div>
                        <label class="layui-form-label">医保类型</label>
                        <div class="layui-input-inline">
                            <select class="timo-search-select" name="yblx" mo:dict="YBLX"
                                    mo-selected="${patientcostinfo?.yblx}"></select>
<!--                            <input class="layui-input" type="text" name="yblx" placeholder="请输入医保类型" th:value="${patientcostinfo?.yblx}">-->
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-colla-item">
                <h2 class="layui-colla-title">病案首页费用信息</h2>
                <div class="layui-colla-content layui-show">
                    <div class="layui-form-item">
                        <label class="layui-form-label">费用总计</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fyhj" placeholder="请输入费用合计" th:value="${patientbacostinfo?.fyhj}">
                        </div>
                        <label class="layui-form-label">自付金额</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="zfje" placeholder="请输入自付金额" th:value="${patientbacostinfo?.zfje}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">1.综合医疗服务费 (1)一般医疗服务费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy01" placeholder="请输入一般医疗服务费" th:value="${patientbacostinfo?.fy01}">
                        </div>
                        <label class="layui-form-label">(2)一般治疗操作费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy02" placeholder="请输入一般治疗操作费" th:value="${patientbacostinfo?.fy02}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">(3)护理费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy03" placeholder="请输入护理费" th:value="${patientbacostinfo?.fy03}">
                        </div>
                        <label class="layui-form-label">(4)其他费用</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy04" placeholder="请输入其他费用" th:value="${patientbacostinfo?.fy04}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">2.诊断类 (5)病理诊断费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy05" placeholder="请输入病理诊断费" th:value="${patientbacostinfo?.fy05}">
                        </div>
                        <label class="layui-form-label">(6)实验室诊断费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy06" placeholder="请输入实验室诊断费" th:value="${patientbacostinfo?.fy06}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">(7)影像学诊断费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy07" placeholder="请输入影像学诊断费" th:value="${patientbacostinfo?.fy07}">
                        </div>
                        <label class="layui-form-label">(8)临床诊断项目费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy08" placeholder="请输入临床诊断项目费" th:value="${patientbacostinfo?.fy08}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">3.治疗类 (9)非手术治疗项目费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy09" placeholder="请输入非手术治疗项目费" th:value="${patientbacostinfo?.fy09}">
                        </div>
                        <label class="layui-form-label">临床物理治疗费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy0901" placeholder="请输入临床物理治疗费" th:value="${patientbacostinfo?.fy0901}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">(10)手术治疗费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy10" placeholder="请输入手术治疗费" th:value="${patientbacostinfo?.fy10}">
                        </div>
                        <label class="layui-form-label">麻醉费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy1001" placeholder="请输入麻醉费" th:value="${patientbacostinfo?.fy1001}">
                        </div>
                        <label class="layui-form-label">手术费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy1002" placeholder="请输入手术费" th:value="${patientbacostinfo?.fy1002}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">4.康复类 (11)康复费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy11" placeholder="请输入康复费" th:value="${patientbacostinfo?.fy11}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">5.中医类 (12)中医治疗费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy12" placeholder="请输入中医治疗费" th:value="${patientbacostinfo?.fy12}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">6.西药类 (13)西药费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy13" placeholder="请输入西药费" th:value="${patientbacostinfo?.fy13}">
                        </div>
                        <label class="layui-form-label">抗菌药费费用</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy1301" placeholder="请输入抗菌药费费用" th:value="${patientbacostinfo?.fy1301}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">7.中药类 (14)中成药费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy14" placeholder="请输入中成药费" th:value="${patientbacostinfo?.fy14}">
                        </div>
                        <label class="layui-form-label">(15)中草药费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy15" placeholder="请输入中草药费" th:value="${patientbacostinfo?.fy15}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">8.血液和血液制品类 (16)血费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy16" placeholder="请输入血费" th:value="${patientbacostinfo?.fy16}">
                        </div>
                        <label class="layui-form-label">(17)血蛋白制品费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy17" placeholder="请输入血蛋白制品费" th:value="${patientbacostinfo?.fy17}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">(18)球蛋白类制品费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy18" placeholder="请输入球蛋白类制品费" th:value="${patientbacostinfo?.fy18}">
                        </div>
                        <label class="layui-form-label">(19)凝血因子类制品费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy19" placeholder="请输入凝血因子类制品费" th:value="${patientbacostinfo?.fy19}">
                        </div>
                        <label class="layui-form-label">(20)细胞因子类制品费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy20" placeholder="请输入细胞因子类制品费" th:value="${patientbacostinfo?.fy20}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">9.耗材类 (21)检查用一次性医用材料费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy21" placeholder="请输入检查用一次性医用材料费" th:value="${patientbacostinfo?.fy21}">
                        </div>
                        <label class="layui-form-label">(22)治疗用一次性医用材料费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy22" placeholder="请输入治疗用一次性医用材料费" th:value="${patientbacostinfo?.fy22}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">(23)手术用一次性医用材料费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy23" placeholder="请输入手术用一次性医用材料费" th:value="${patientbacostinfo?.fy23}">
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">10.其他类 (24)其他费</label>
                        <div class="layui-input-inline">
                            <input class="layui-input" type="text" name="fy24" placeholder="请输入其他费" th:value="${patientbacostinfo?.fy24}">
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <div class="layui-form-item timo-finally">
            <button class="layui-btn ajax-submit"><i class="fa fa-check-circle"></i> 保存</button>
            <button class="layui-btn btn-secondary close-popup"><i class="fa fa-times-circle"></i> 关闭</button>
        </div>
    </form>
</div>
<script th:replace="/common/template :: script"></script>
<script type="text/javascript" th:src="@{/js/plugins/jquery-2.2.4.min.js}"></script>
<script type="text/javascript" th:src="@{/lib/zTree_v3/js/jquery.ztree.core.min.js}"></script>
<script type="text/javascript" th:src="@{/js/timoTree.js}"></script>
<script type="text/javascript">
    $( document ).ready(function() {
        // console.log( "ready!" );
        $("#sysjclist").find("textarea").hide();
        $("#yxjclist").find("textarea").hide();
        $("#mxjylist").find("textarea").hide();
        $("#xcgjcjg").show();
        $("#xxyxjg").show();
        $("#mxjc").show();
    });

    // 树形菜单
    $.fn.selectTree();
    //使用日期控件
    layui.use(['element', 'laydate', 'form'], function () {
        var $ = layui.jquery;
        var form = layui.form;
        var laydate = layui.laydate;

        var build = $(".build-panel");

        //初始化laydate实例
        laydate.render({
            elem: '#csrq'
        });
        laydate.render({
            elem: '#ryrq'
        });
        laydate.render({
            elem: '#cyrq'
        });
        laydate.render({
            elem:'#qdtyxzlsj'
        });
        laydate.render({
            elem:'#zdsj'
        });
        laydate.render({
            elem:'#scfbsj'
        });
        laydate.render({
            elem:'#scjysj'
        });

        // form.on('radio(ChoiceRadio)', function(data){
        //     console.log(data.elem); //得到 radio 原始 DOM 对象
        //     console.log(data.value); //被点击的 radio 的 value 值
        // });
        form.on('select(sysjc)', function(data) {
            $("#sysjclist").find("textarea").hide();
            if (data.value == 1) {
                $("#xcgjcjg").show()
            } else if(data.value==2) {
                $("#ncgjcjg").show()
            }else if(data.value==3) {
                $("#xxhjcjg").show()
            }else if(data.value==4) {
                $("#bljcjg").show()
            }else if(data.value==5) {
                $("#jyjcjg").show()
            }else if(data.value==6) {
                $("#qtjcjg").show()
            }
        });

        form.on('select(yxjcjg)', function(data) {
            $("#yxjclist").find("textarea").hide();
            if (data.value == 1) {
                $("#xxyxjg").show();
            } else if(data.value==2) {
                $("#bcyxjg").show()
            }else if(data.value==3) {
                $("#ctyxjg").show()
            }else if(data.value==4) {
                $("#hcyxjg").show()
            }else if(data.value==5) {
                $("#qtyxjg").show()
            }
        });

        form.on('select(mxjy)', function(data) {
            $("#mxjylist").find("textarea").hide();
            if (data.value == 1) {
                $("#mxjc").show();
            } else if(data.value==2) {
                $("#jyjc").show()
            }
        });
    });

</script>
</body>
</html>


<!--        <div class="layui-form-item" th:if="!${user}">-->
<!--            <label class="layui-form-label required">用户密码</label>-->
<!--            <div class="layui-input-inline">-->
<!--                <input class="layui-input" type="password" name="password" placeholder="请输入用户密码">-->
<!--            </div>-->
<!--        </div>-->
<!--        <div class="layui-form-item" th:if="!${user}">-->
<!--            <label class="layui-form-label required">确认密码</label>-->
<!--            <div class="layui-input-inline">-->
<!--                <input class="layui-input" type="password" name="confirm" placeholder="再一次输入密码">-->
<!--            </div>-->
<!--        </div>-->
<!--        <div class="layui-form-item">-->
<!--            <label class="layui-form-label required">所在部门</label>-->
<!--            <div class="layui-input-inline">-->
<!--                <input class="layui-input select-tree" th:attr="data-url=@{/system/dept/list}, data-value=${user?.dept?.id}"-->
<!--                       type="text" name="dept"  placeholder="请选择所在部门" th:value="${user?.dept?.title}">-->
<!--            </div>-->
<!--        </div>-->